Skilled nursing facility · CMS certification number 115413
JEFFERSONVILLE HEALTH & REHAB
JEFFERSONVILLE, Georgia
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026.
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2016 to March 6, 2016 — a reporting period of 65 days, not a full year, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $860,002 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $72,286 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $787,716 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $997,524 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$209,808 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $870 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$208,938 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$208,938 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 8,646 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 182 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 3,653 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 198 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 4,033 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 107 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 3 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 34.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 35.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222810, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 18, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,575,513 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $622,428 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,953,085 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,689,203 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $263,882 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,998 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $269,880 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $269,880 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,440 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 95.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 460.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 321.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1182008, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 30, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,834,976 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $849,206 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,985,770 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,785,177 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $200,593 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,265 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $208,858 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $208,858 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,444 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 101 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 460.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 321.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144409, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 30, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,101,916 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $729,956 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,371,960 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,825,757 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$453,797 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,074 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$444,723 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$444,723 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,304 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 479.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 312.41 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116744, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for December 1, 2012 to December 31, 2012 — a reporting period of 30 days, not a full year, on form CMS-2540-10, settled, processed by CMS on December 10, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $459,995 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $31,311 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $428,684 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $426,239 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,445 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $300 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,745 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,745 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,449 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 11 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 364.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 222.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1082187, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 5, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,036,386 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $246,423 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,789,963 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,403,231 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$613,268 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,671 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$608,597 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$608,597 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,373 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 76.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 500.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 363.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049154, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for August 1, 2010 to December 31, 2010 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 28, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,868,849 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,324,777 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$455,928 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$455,881 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,264 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 34 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 647.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 331.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431053, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 27, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,858,894 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,419,957 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$561,063 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$561,063 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,938 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 143 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 216.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 419521, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 2, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,211,739 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,630,104 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$418,365 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $112,788 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$305,577 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,498 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 124 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 245.95 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364748, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for December 1, 2006 to June 30, 2007 — a reporting period of 211 days, not a full year, on form CMS-2540-96, settled, processed by CMS on July 25, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,003,919 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,855,800 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $148,119 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,939 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $151,058 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,650 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 86 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 216.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 321299, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended November 30, 2006
Cost report for April 1, 2006 to November 30, 2006 — a reporting period of 243 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 25, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $738,269 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $738,262 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $738,262 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 2,718 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 1 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 2,718 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 2,718 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 324926, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended March 31, 2005
Cost report for April 1, 2004 to March 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 26, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,726,511 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,088,071 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$361,560 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,408 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$348,152 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,994 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 235.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,194.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 818 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 250366, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended March 31, 2004
Cost report for April 1, 2003 to March 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on October 17, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,080,993 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,843,922 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$762,929 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,025 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$727,904 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,419 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 59 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 113.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 488 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 413.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264744, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended March 31, 2003
Cost report for April 1, 2002 to March 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 4, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,481,429 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,603,458 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,122,029 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,145,788 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $23,759 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,360 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 494.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 290.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 215786, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended March 31, 2002
Cost report for April 1, 2001 to March 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 16, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,776,947 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,435,649 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$658,702 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,665 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$653,037 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,615 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 123.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 585.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 336.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 186624, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended March 31, 2001
Cost report for April 1, 2000 to March 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on March 19, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,080,213 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,179,404 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$99,191 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,529 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$94,662 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,193 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 591.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 353.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 101771, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended March 31, 2000
Cost report for April 1, 1999 to March 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,015,593 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,382,553 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$366,960 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,990 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$350,970 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,466 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 121.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 702.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 437.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39605, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended March 31, 1999
Cost report for April 1, 1998 to March 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 12, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,744,764 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,621,597 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $123,167 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,231 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $131,398 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,118 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,217.97 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 384.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39604, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended March 31, 1998
Cost report for April 1, 1997 to March 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 26, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,503,119 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,382,992 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $120,127 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,877 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $127,004 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,942 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,211.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 382.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39602, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended March 31, 1997
Cost report for April 1, 1996 to March 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 27, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,557,402 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,217,362 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $340,040 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,350 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $360,390 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,573 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 230 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 349.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 39601, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in CMS’s ownership data for this facility.
Recent changes on this record
- April 17, 2019: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- January 18, 2018: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- September 30, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- December 30, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- December 10, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2013.zip
- November 5, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- June 28, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- December 30, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- October 27, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- March 2, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- August 25, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- July 25, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- May 1, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- October 17, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- May 26, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- May 4, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- July 16, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- March 19, 2002: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- September 19, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
- December 12, 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
- August 26, 1999: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
- October 27, 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
Get an email when this record changes
One email a day naming what moved on JEFFERSONVILLE HEALTH & REHAB: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On April 17, 2019: A cost report was filed for fiscal year 2016, on form CMS-2540-10. That is one line of the alert.
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The citable document for JEFFERSONVILLE HEALTH & REHAB
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Georgia at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 115413.